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MRS. MARY NG-TEDJASUKMANA LCSW
NPI 1376829119
Social Worker - Clinical in Brooklyn, NY

Active since October 25, 2011
1863 W 8TH ST, BROOKLYN, NY 11223(718) 395-2064 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2020, Aug 10, 2017 (2 updates tracked since 2017).

About Mrs. Mary Ng-tedjasukmana Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY NG-TEDJASUKMANA LCSW (NPI 1376829119) is an individual clinical provider in Brooklyn, New York, licensed in New Jersey (44SC05712100) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1376829119
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY NG-TEDJASUKMANACredential: LCSW
Location Address1863 W 8TH STBrooklyn, NY 11223-2549
Mailing Address1863 W 8th StBrooklyn, NY 11223-2549 · (718) 395-2064
Phone(718) 395-2064
Sole ProprietorYes
Enumeration DateOctober 25, 2011
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1376829119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NJ · 44SC05712100✔ Licensed in NY · 081483-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1863 W 8TH ST, Brooklyn, NY 11223
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Other Names 1

Professional Name (2)Mrs. Mary Ng-tedjasukmana Lcsw, Pllc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY NG-TEDJASUKMANA, LCSW, PLLC
Social Worker (Clinical)
1863 W 8TH ST
BROOKLYN, NY 11223
Kings County (718) 395-2064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ng-tedjasukmana's NPI number?

The NPI number for Mary Ng-tedjasukmana is 1376829119. It was assigned to this individual provider in the NPPES registry on October 25, 2011. The provider is also known as Mrs. Mary Ng-Tedjasukmana Lcsw, PLLC.

Where is Mary Ng-tedjasukmana located?

Mary Ng-tedjasukmana practices at 1863 W 8th St, Brooklyn, NY 11223. The listed phone number is (718) 395-2064.

What is Mary Ng-tedjasukmana's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Ng-tedjasukmana was last updated on July 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.